Individual provider · Type 1 NPI

Lucas Maffioletti Goncalves, MD

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1912849134 Active

Practice location

111 E 210th St
Bronx, NY 10467-2401

Call (718) 920-4321 Map

Mailing address

90 Brainerd Rd
Boston, MA 02134-4532

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1912849134

Lucas Maffioletti Goncalves, MD's National Provider Identifier is 1912849134, issued on Apr 7, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Apr 7, 2026.